On Demand
How to Manage Managed Care & Pre-Authorizations (On Demand)
- Topic Areas:
- Care Plans | ICD-10 | Managed Care | Medical Necessity | Pre-Authorization
- Categories:
- Patient Transition | Billing & Coding | Insurance Billing Compliance | Revenue Optimization
- Faculty:
- Dr. Marty Kotlar
- Duration:
- 90
- Format:
- Audio and Video
Tags: Non-CE
Description
Topics:
- Increasing approved visit counts
- Completing medical necessity review forms (MNR)
- Pros and cons of in-network vs. out-of-network
- Transitioning ASH patients to cash
- Billing beyond 5 visits
- Short- and long-term ICD-10 coding
- Managing co-morbidities and complicating factors
- Care plans to boost approval rates
Why Attend:
- Avoid Denials: Align documentation with CMS Chapter 15 and InterQual criteria.
- Boost Revenue: Use phased care plans and co-morbidity coding to secure extended approvals.
- Simplify Transitions: Implement cash-pay strategies for patients facing authorization hurdles.
Handouts
| 2 - Target Coding Forms - HIPAA Notice with Signature Page (176.6 KB) | Available after Purchase | ||
| 3 - Target Coding Forms - NSL & GFE Forms (47.1 KB) | Available after Purchase | ||
| 4 - Target Coding Forms - Financial Policy (32.2 KB) | Available after Purchase | ||
| 1 - Target Coding Handout Notes - How to Manage Managed Care & Pre-Authorizations (10.2 MB) | Available after Purchase | ||
Faculty
Dr. Marty Kotlar Related Seminars and Products
Target Coding
MARTY KOTLAR, DC, CPCO, CBCS is the President of Target Coding. Over the last 15 years, Target Coding has helped thousands of healthcare providers and their staff members with compliance as it relates to billing, coding, documentation, Medicare & HIPAA. Dr. Kotlar is certified in compliance, a certified coding specialist, a contributing author to many coding and compliance publications and a guest speaker at many state association conventions.